Individual
MARTHA R RUTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3449 NE 162ND ST, CITRA, FL 32113
(352) 595-1775
Mailing address
PO BOX 705, CITRA, FL 32113-0705
(352) 595-1775
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
234390
FL
372600000X
Adult Companion
234390
FL
3747P1801X
Personal Care Attendant
234390
FL
376J00000X
Homemaker
Primary
234390
FL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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